Organization
MINEOLA NURSING AND REHAB CENTER
Active
Other names
Mineola Healthcare Residence
Organization subpart
No
Provider details
NPI number
Authorized official
JOE NEUMAN (CHIEF EXECUTIVE OFFICER)
(214) 396-3462
Entity
Organization
Contact information
Practice address
716 MIMOSA DR, MINEOLA, TX 75773-2612
(903) 569-5366
Mailing address
111 CLIFTON AVE STE 17, LAKEWOOD, NJ 08701-3342
(214) 396-3462
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026604
—
TX
Enumeration date
12/03/2014
Last updated
01/23/2017
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